Healthcare Provider Details

I. General information

NPI: 1275468787
Provider Name (Legal Business Name): EMELINE HINE MUSTO M.A.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/16/2026
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

203 N 8TH AVE E
DULUTH MN
55805-3254
US

IV. Provider business mailing address

203 N 8TH AVE E
DULUTH MN
55805-3254
US

V. Phone/Fax

Practice location:
  • Phone: 218-264-4665
  • Fax: 218-264-3588
Mailing address:
  • Phone: 218-264-4665
  • Fax: 218-264-3588

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: